Organization
GIANT OF SALISBURY INC
Active
Other names
ACME PHARMACY #0896
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
751 S SALISBURY BLVD, SALISBURY, MD 21801
(443) 260-2400
(443) 260-2412
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07368
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162291
PK
—
05
—
225822600
—
MD
Enumeration date
07/20/2016
Last updated
03/04/2020
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